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Life course health and healthcare utilization among adults with spina bifida
Author(s) -
Liptak Gregory S,
Robinson Laura M,
Davidson Philip W,
Dziorny Adam,
Lavalley Rebecca,
Flaherty Mary Grace,
Dosa Nienke P
Publication year - 2016
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12952
Subject(s) - spina bifida , medicine , odds ratio , pediatrics , odds , health care , logistic regression , population , emergency department , emergency medicine , psychiatry , environmental health , economics , economic growth
Aim To evaluate the prevalence of organ system disorders and describe healthcare utilization among adults with spina bifida at a regional clinic. Method This study was a structured chart review using the Rochester Health Status Survey‐ IV . 65 males, 57 females aged 16 to 59 years were seen at the Spina Bifida Center of Central New York between January 2007 and December 2008 (annual hospitalization rate was 15 out of 100). Results Hospitalizations and acute outpatient visits were associated with having shunted hydrocephalus, whereas visits to the emergency department were associated with having a decubitus ulcer. Logistic regression models revealed that older adults made proportionately fewer visits to primary care providers than younger adults (odds ratio 0.919; p =0.02). Yet for every 1‐year increase in age, the odds of being hospitalized increased by 5% (odds ratio 1.051; p =0.03). Interpretation Adults with spina bifida have multiple organ‐system disorders. They have greater difficulty accessing services, and utilize emergency and inpatient healthcare at higher rates than the general population. In the future, adults with spina bifida will require access to more medical care and preventive services if they are to have optimal health, well‐being, and functioning.